Endocrine Solutions LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

ENDOCRINE SOLUTIONS LLC

Practice address

1850 Town Center Pkwy
Reston, VA 20190-3204

Phone

(571) 353-4614

NPI assigned

Dec 28, 2022

Last updated

Jan 1, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samim Enayat, MDNPI 1700053824

Title

Owner

Phone

(615) 879-0587

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Samim Enayat, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Fairfax, VA
  • NPI 1700053824

  DC

  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672531200000",
    "number": "1316650997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44050 ASHBURN SHOPPING PLAZA",
            "address_2": "SUITE 195 - #702",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "20147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 TOWN CENTER PKWY",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903204",
            "telephone_number": "571-353-4614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-28",
        "last_updated": "2023-01-01",
        "certification_date": "2023-01-01",
        "status": "A",
        "authorized_official_last_name": "ENAYAT",
        "authorized_official_first_name": "SAMIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-879-0587",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Reston, VA
• Providers in Reston, VA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.